Healthcare DIVE January 7, 2022
Health plans may soon be facing more transparency and accountability for their practices in Medicare Advantage and Part D, if the Biden administration finalizes a proposed rule released Thursday.
The regulation would overhaul a number of ways MA and Part D plans operate and disclose information, including in the areas of plan applications, provider network adequacy requirements, medical loss ratio reporting and marketing.
If finalized, it would also lean on pharmacy price concessions to try to lower out-of-pocket costs for prescription drugs in Part D, and revise regulations for Medicare special needs plans for dual-eligibles related to health risk assessments and beneficiary input into their own coverage.
CMS says updating the MA and Part D programs will improve price transparency...
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